| NPI | 1649325473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZALIYA OSTROVSKAYA Director 718-725-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 210820) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |