| NPI | 1790771889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB K SADIGH Administrator 718-261-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2016-05-04 |