| NPI | 1780617993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO M LOPEZ Medical Director 212-781-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 123637) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 123637) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2011-02-15 |