| NPI | 1811089816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FELIX Excutive Director 718-834-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 152W00000X Optometrist |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-08-26 |