| NPI | 1811225006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT STUART KODROFF Owner/Physician 347-529-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 210374) |
| Enumeration Date | 2009-11-26 |
| Last Update Date | 2010-05-03 |