| NPI | 1548552276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SIEGEL Owner 718-431-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 162832) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-11-09 |