NPI | 1548700925 |
---|---|
Entity Type | Organization |
Authorized Contact | ILYA KLEYN President 212-571-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 215006) |
Enumeration Date | 2017-03-03 |
Last Update Date | 2025-03-16 |