| NPI | 1457539512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KALOUDIS Sole Owner 718-224-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 234166) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2012-07-25 |