| NPI | 1639998529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY MATHEWS President 347-225-6076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2025-04-23 |