| NPI | 1811337801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G JOHNSON President/Owner/Physician 718-723-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 161045) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |