| NPI | 1851678692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY KONSKY President 718-676-1743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |