| NPI | 1417245077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUYEMI O BADERO Medical Director 718-387-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2013-12-24 |