| NPI | 1639876485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIGORIY MASHKEVICH Authorized Official 212-737-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-03-28 |