| NPI | 1578098562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA BESGEN Credentialing Manager 914-437-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-10-31 |