| NPI | 1720359094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONIA MARIA WARD Medical Director 718-496-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NY 207936) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |