| NPI | 1598796245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIN A WONG Director 718-975-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |