| 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 |