| NPI | 1811942782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY GABINSKY Medical Director 718-896-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2022-07-21 |