| NPI | 1770501421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX RACCO Owner 718-745-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 206442) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 227515) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-07-08 |