| NPI | 1720373293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIOLA FAMILUSI President/CEO 718-327-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |