| NPI | 1902079072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA MIRANDA Office Manager 212-724-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 202809) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |