| NPI | 1881071991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO THOMAS President 718-421-0472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-29 |