| 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 |