| NPI | 1811633340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS VEYSMAN Owner 718-208-8124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-12-21 |