| NPI | 1912091752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR ALEXEYENKO Physician 212-675-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 211233) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-11-17 |