| NPI | 1740595990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN VOLONAKIS Administrator Director 646-935-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered | |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |