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 |