| NPI | 1366567414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LEVINA President 917-609-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 261Q00000X (Licence: NY 234232) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-09-20 |