| NPI | 1548353964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA IDANAN President/ Owner 212-255-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 184732) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2008-07-16 |