| NPI | 1609930783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIE SCOPELLITO-OLSEN Doctor 1718-668-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 168980) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 168980) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-12-12 |