| NPI | 1457643991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY STEPHENS President 718-613-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208200000X Plastic Surgery | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2021-09-28 |