| NPI | 1417616533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MY-CHARLLINS VILSAINT Owner/Provider 917-859-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |