| NPI | 1356360382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAEFEAL NOAH LUKE Administrative Secretary 646-883-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 112288) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-05-02 |