| NPI | 1568623460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR MARTIROSOV President 718-234-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 209027) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-08-20 |