| NPI | 1477386696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAIAH FRIEDMAN Owner 347-719-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
| 2085R0001X Radiology, Radiation Oncology | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-09-17 |