| 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 |