NPI | 1912059239 |
---|---|
Doing Business As | RIVERDALE FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | FRANK J MASELLI Medical Director 718-543-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-01-17 |
Last Update Date | 2015-07-09 |