| NPI | 1720801913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY J STEIN Owner/Authorized Official 718-941-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |