| NPI | 1649834169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY TERUSHKIN Physician 718-781-6714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208600000X Surgery |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2025-02-18 |