| NPI | 1609227800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES MENDEZ Director Of House Staff 718-250-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |