| NPI | 1508972175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE O'DONNELL Practice Manager 914-631-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207RN0300X Internal Medicine, Nephrology | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-04-20 |