| NPI | 1508906777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE TADEO BONOAN President 914-338-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 202436) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2010-03-15 |