| NPI | 1912549262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA CHEN Senior Manager 212-965-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 208000000X Pediatrics | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2023-05-23 |