| NPI | 1407289937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIENVENIDO FAJARDO CEO 646-417-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207Q00000X Family Medicine | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 208000000X Pediatrics | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2022-07-21 |