NPI | 1598468084 |
---|---|
Entity Type | Organization |
Authorized Contact | IRINA KATAYEVA Owner 347-439-2046 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology |
Enumeration Date | 2023-03-23 |
Last Update Date | 2025-01-22 |