| NPI | 1861573669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET COSTIGAN Practice Coordinator 718-863-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RN0300X Internal Medicine, Nephrology | |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |