| NPI | 1407059199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA ILYAYEVA Md 718-275-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207Q00000X Family Medicine | |
| 207RN0300X Internal Medicine, Nephrology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-03-12 |