| NPI | 1891746368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS DIFAZIO Partner 718-325-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: NY 177458) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 151941) |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: NY 130048) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 106848) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NY 105455) | |
| 207RN0300X Internal Medicine Nephrology (Licence: NY 206326) | |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NY 123469) | |
| 207W00000X Ophthalmology (Licence: NY 109441) | |
| 208000000X Pediatrics (Licence: NY 170475) | |
| 208800000X Urology (Licence: NY 120111) | |
| 213E00000X Podiatrist (Licence: NY N003013) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-03-16 |