| NPI | 1518174267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OFELIA V CALUBIRAN Owner Sole Member 718-858-1732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 175306) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 175306) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |