| NPI | 1821464744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY TERUSHKIN Md 718-616-1622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |