| NPI | 1851347900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JONES Credentialing Specialist 718-233-9122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 180270) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 180270) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-07-02 |