| NPI | 1396945051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAULIO FLORES Physician 914-202-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 223994) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 223994) |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: NY 223994) | |
| 208000000X Pediatrics (Licence: NY 223994) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 223994) | |
| 2080S0010X Pediatrics, Sports Medicine (Licence: NY 223994) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2009-03-12 |