| NPI | 1336990308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSEY ETINGER Owner 718-971-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2025-04-28 |