| NPI | 1891860755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GAIL BAGG Medical Doctor 914-576-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 181534) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 184941) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |