| NPI | 1871788802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG OLSHANETSKIY Owner 718-244-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2008-08-05 |