| NPI | 1912187956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO A HENRIQUEZ Medical Director 718-655-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 138309) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |