| NPI | 1811215460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BADU Member/Fnp 914-400-4779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX 735840) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 735840) |
| 208D00000X General Practice (Licence: TX 735840) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2011-04-11 |