| NPI | 1609737907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIYA DEMENTOVYCH Attending Physician 267-847-5245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |