| NPI | 1841661618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L MARTINHO Owner 212-420-6460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |