| NPI | 1801891064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA INGBERMAN Internaml Medicine/Medical Director 718-724-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 200551) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 205927) |
| 213E00000X Podiatrist (Licence: NY N005775) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2007-11-13 |