| NPI | 1518354844 |
|---|---|
| Doing Business As | FPA OUT OF NETWORK |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MACNEILL Vice President, Cbo Director 646-605-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |