| NPI | 1376922377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES MIGUEL PEREIRA Medical Director 212-567-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-26 |