| NPI | 1649461757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY HERBERT President 917-862-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 186982-1) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2010-11-16 |