| NPI | 1649105172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEE Owner 347-427-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2026-06-16 |
| Last Update Date | 2026-06-16 |