| NPI | 1720708589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT REFOWITZ President 917-334-9589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-06-25 |