| NPI | 1790263259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY CREVECOEUR Owner 646-373-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 184270) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |