| NPI | 1912239591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MAKOLO Medical Director 914-663-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 190317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 190317) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 190317) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: NY 190317) | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |