| NPI | 1871117838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK MERCER Credentialing Executive 718-841-7318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-07-29 |