| NPI | 1891312856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODIEL JEAN-BAPTISTE Medical Director/Owner 718-840-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2021-07-02 |