| NPI | 1366731614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUBIL MALIECKAL President 718-789-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 136676) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 136676) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-09-26 |