| NPI | 1538300934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE EVANS OWUSU Medical Director 917-385-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 232053) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 232053) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |