| NPI | 1598753253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI GUTERMAN Credentialing Coordinator 718-876-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2023-08-23 |