| NPI | 1821753070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZAVETA REYNOLDS Director 917-539-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0001X Internal Medicine, Clinical & Laboratory Immunology |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |