| NPI | 1841657111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY PALAMARCHUK Billing Manager 917-309-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 228513) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |