| NPI | 1568684660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITHA D REDDY Partner 718-969-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |