| NPI | 1487987780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL SHAFER Principal 212-289-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 076953) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: NY 076953) |
| 208D00000X General Practice (Licence: NY 076953) | |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |