| NPI | 1568768513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR J MASI Owner 718-625-5449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 198455) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |