| NPI | 1558579201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO COMUYOG UY President 718-994-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 236741) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 202436) |
| 207R00000X Internal Medicine (Licence: NY 237144) | |
| 208000000X Pediatrics (Licence: NY 166745) | |
| 208000000X Pediatrics (Licence: NY 170475) | |
| 208000000X Pediatrics (Licence: NY 218147) | |
| 208000000X Pediatrics (Licence: NY 169367) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |