| NPI | 1699022756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D ROBERTS President 718-480-6794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 209800000X Legal Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |