| NPI | 1861628091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BROMBERG Shareholder 718-250-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases | |
| 2080P0210X Pediatrics, Pediatric Nephrology | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 208M00000X Hospitalist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |