| NPI | 1538575642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHINE ABAKPORO Medical Director 347-743-3994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 201140) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2015-05-07 |