| NPI | 1740423433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIYA VINOKUROVA Medical Director 718-757-6501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 210853) |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2014-05-27 |