| NPI | 1518132372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARKADIY IZRAILOV Medical Doctor 718-438-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 218546) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |