| NPI | 1801924428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ANTHONY Owner 917-848-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 206758) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 206758) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |