| NPI | 1467468686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LEVIT Medical Director 718-376-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 122300000X Dentist |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208800000X Urology | |
| 208C00000X Colon & Rectal Surgery | |
| 213ES0131X Podiatrist, Foot Surgery | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2009-10-27 |