| NPI | 1548506884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ZWITIASHVILI Managing Member 718-975-0657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 160217) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |