| NPI | 1629783394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA KATZ Medical Director 917-860-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |