| NPI | 1538306352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSTO ABRAHAM GONZALEZ Physician 718-429-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 229968) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-09-04 |