| NPI | 1497290894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND NASSIM Physician 718-321-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: NY 279137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 176223) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |