| NPI | 1639615859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS MALETZ Owner 646-386-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |