| NPI | 1881693398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H GODDARD Partner 718-858-3263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2022-07-21 |