| NPI | 1700896834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RIVERA Medical Board Director 718-270-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |