| NPI | 1912595828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS WOODARD Vice President Of Revenue Cycle 646-825-5517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2024-03-13 |