| NPI | 1346256104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DELLACERRA VP Managed Care & Revenue Complianc 718-630-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 27667) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 27667) |
| 207K00000X Allergy & Immunology (Licence: NY 27667) | |
| 208C00000X Colon & Rectal Surgery (Licence: NY 27667) | |
| 207N00000X Dermatology (Licence: NY 27667) | |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NY 27667) | |
| 207X00000X Orthopaedic Surgery (Licence: NY 27667) | |
| 207Y00000X Otolaryngology (Licence: NY 27667) | |
| 208600000X Surgery (Licence: NY 27667) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 27667) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 27667) | |
| 363L00000X Nurse Practitioner (Licence: NY 27667) | |
| 103T00000X Psychologist (Licence: NY 27667) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 27667) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 27667) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-09-08 |