| NPI | 1881883874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARKADIY SHUSTERMAN Medical Director 718-333-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 217079) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |