| NPI | 1417447012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALY GOLUB Owner 646-244-8857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX P6399) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |