| NPI | 1770906802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIENVENIDO FAJARDO Medical Director 212-543-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 163674) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |