| NPI | 1689745424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GIBSON Manager 718-261-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363AM0700X Physician Assistant, Medical (Licence: NY 009605) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-05-03 |