| NPI | 1629301262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANINA KOVLER President 718-755-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 245681) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |