| NPI | 1366906588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL DAVID COHEN Owner 718-442-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |