| NPI | 1841591153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB-SUNG S KEUM President 917-892-9432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 227598) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 227598) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: NY 227598) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-04 |