| NPI | 1891968236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BONANNO Owner 718-863-7925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 187793) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |