| NPI | 1871966333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO DUNNER Administration Secretary 718-809-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09998900) |
| 207R00000X Internal Medicine (Licence: CT 55603) | |
| 207R00000X Internal Medicine (Licence: NY 0-93763) | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2018-05-29 |