NPI | 1376354159 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER ERIK BOWEN Owner 718-362-1411 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2025-01-20 |
Last Update Date | 2025-04-15 |