| NPI | 1548550213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG LAWRENCE WILSON President 917-664-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |