NPI | 1750519690 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN-ROBERT BOURSIQUOT Medical Director 718-507-5656 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 156767) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2009-06-30 |