| NPI | 1619032877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKHAR GERSHKOVICH Md 718-645-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 217348) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 225176) |
| 213E00000X Podiatrist (Licence: NY 005841) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |