| NPI | 1518087634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA MELISSA VELAZQUEZ Owner 212-928-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 166974) |
| 207RI0200X Internal Medicine Infectious Disease | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2012-05-31 |