| NPI | 1619838703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA ILYAYEVA Md 718-275-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-11-19 |
| Last Update Date | 2025-11-19 |