| NPI | 1790814390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAN SHIK LEE President Medical Director 718-224-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 185465) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2012-09-27 |