| NPI | 1811176290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLA BANGY President 718-762-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 210747) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X010723) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-04 |