| NPI | 1760604375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J MATHIEU Medical Director 718-896-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 210417) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-02-25 |