| NPI | 1760116503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL IMEH Resident Pgy L1 917-916-7624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |