| NPI | 1548457518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANNE ALESSIO Office Manager 718-836-5706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N006032) |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2014-09-16 |