| NPI | 1417494766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINSOO KIM Owner 914-610-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 246281) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 246281) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |