| NPI | 1871707372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA J MARRERO Office Manager 718-446-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-06-21 |