| NPI | 1851118319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GERARD FUNSCH President 718-534-0689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2025-04-24 |