| NPI | 1609906924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA UNGER Office Manager 718-967-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 175535-1) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |