| NPI | 1639473762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKUA BOAH Md 718-282-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 242939) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 130416) |
| 207R00000X Internal Medicine (Licence: NY 242939) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2014-12-22 |