| NPI | 1497122626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSMITA SENAPATI Consultant 914-803-2786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2016-01-13 |