| NPI | 1427574623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE MOON Administrator 718-265-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2018-01-24 |