| NPI | 1366952913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A GORIS Md 212-923-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |