| NPI | 1871851295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZERGABACHEW ASFAW Owner 718-548-1569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 205328) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-06-20 |