| NPI | 1902207335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GRACE DANGO-CAPATI CEO And Practice Administrator 718-602-8194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |