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 |