| 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 |