| NPI | 1609259902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA BELOSTOTSKY Managing Director 917-573-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 226767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 226767) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NY 226767) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |