| NPI | 1619314366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAYINKA OMOWUNMI HOLT Director 347-350-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P1765) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P1765) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2018-05-01 |