| NPI | 1457376022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAHIM ARDOLIC Director 718-226-9158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-04-03 |