| NPI | 1801804877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BARD Doctor 718-769-3667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 166446) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |