| NPI | 1588943047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM LI Manager 917-292-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 224860) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |