| NPI | 1720331408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA A KLIMENKO Medical Director 212-696-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 228992) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2013-06-17 |