| NPI | 1881802973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO G. TAN M.D. 718-836-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 202867) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2009-02-20 |