NPI | 1649997198 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH WIESENFELD Administrator 718-408-8860 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
207RG0300X Internal Medicine, Geriatric Medicine | |
Enumeration Date | 2022-10-25 |
Last Update Date | 2023-06-27 |