| NPI | 1831489798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA KLEYN M.D. 718-318-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 215006) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |