| NPI | 1407128077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MASON Billing Manager 347-416-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 2080P0214X Pediatrics, Pediatric Pulmonology | |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-03-07 |