NPI | 1760560759 |
---|---|
Entity Type | Organization |
Authorized Contact | GESNER LOUIS AUGUSTE Medical Director 718-941-7918 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 161141) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |