| NPI | 1700920998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN MARLOWE LYONS General Practioner 718-748-5482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 152639) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |