| NPI | 1689950826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAIL S SHNAYDER Medical Director 718-275-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 222133) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |