| NPI | 1447291299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA WAGNER JANICIK Partner 212-379-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-12-16 |