| NPI | 1821586470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX CHAN Chief Operating Officer 718-321-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 207K00000X Allergy & Immunology | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |