| NPI | 1437302346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR R WORRELL Manager 718-467-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 138670) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |