| NPI | 1801478086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD MARKOWITZ Authorized Official 914-843-9637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2022-11-08 |