| NPI | 1396318986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN SMITH Senior A VP President & Deputy CFO 718-826-4943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-09-16 |