| NPI | 1891288676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVRAHAM J. GOTTESMAN VP 646-757-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 242626) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2020-02-04 |