| NPI | 1780989475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL APONTE Administrator 718-828-1549 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 207RC0200X Internal Medicine Critical Care Medicine | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RX0202X Internal Medicine Medical Oncology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RS0010X Internal Medicine Sports Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 1041C0700X Social Worker Clinical | |
| 208D00000X General Practice | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2013-04-03 |