| NPI | 1417398512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRO LATI Dr/Resident 718-375-6449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: NY AG3434901205) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |