| NPI | 1477763258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YALAMANCHILLI RAO Owner 718-816-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 116820) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |