| NPI | 1912524414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIO EDUARDO CRISTILLI CEO 917-721-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 106H00000X Marriage & Family Therapist | |
| 133N00000X Nutritionist | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 175L00000X Homeopath | |
| 207K00000X Allergy & Immunology | |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207W00000X Ophthalmology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |