| NPI | 1386971455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIYA BENTSIANOVA Billing Manager 718-332-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 184834) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |