NPI | 1366792509 |
---|---|
Entity Type | Organization |
Authorized Contact | VLADIMIR ONEFATER Owner 718-576-6266 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NY 220248) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 215829) |
Enumeration Date | 2012-09-14 |
Last Update Date | 2012-10-12 |