| NPI | 1659126118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAGANOTTI Owner/ Authorized Official 347-408-7016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |