| NPI | 1477791747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARSHALL Owner 212-222-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 184015) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA06631200) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |