| NPI | 1538326178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL RAMOS Billing Supervisor 718-302-5217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 195946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 111981) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2009-05-01 |