| NPI | 1770881245 |
|---|---|
| Doing Business As | SUNY DMC@LICH-FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MARILYN VIENTOS - SOTIRIADIS COO 718-270-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2013-04-04 |