| NPI | 1851315337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRIA FRANKS Executive Director 212-423-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 122300000X Dentist | |
| 204E00000X Oral & Maxillofacial Surgery | |
| 207N00000X Dermatology | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-07-17 |