| NPI | 1548286081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX RACCO Owner 718-351-2192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 207U00000X Nuclear Medicine | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2009-01-08 |