| NPI | 1639373194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA LANTSBERG Pc Practitioner 718-809-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 240171) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |