| NPI | 1356863088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LOPEZ Crdentials COO Rdinator 646-283-2741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 258041) |
| Additional Taxonomies | 207LH0002X Anesthesiology Hospice and Palliative Medicine |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |