| NPI | 1477214237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANKO KOLVEK COO 347-497-2452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2024-01-09 |