| NPI | 1871747006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MAK Medical Director 718-332-9592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine Adolescent Medicine (Licence: NY 211790-1) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |