| NPI | 1447542170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOSE PALENCIA Medical Director 718-626-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 239681) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2022-07-15 |