NPI | 1447480439 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN ALEXANDER CHARLOTTEN Principal 718-606-0187 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 221293) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2011-04-25 |