| NPI | 1922017789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO ROZO Owner 718-458-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 187566) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 209191) |
| 207Q00000X Family Medicine (Licence: NY 177471) | |
| 207Q00000X Family Medicine (Licence: NY 149657) | |
| 207Q00000X Family Medicine (Licence: NY 261999) | |
| 207R00000X Internal Medicine (Licence: NY 162464) | |
| 207R00000X Internal Medicine (Licence: NY 167446) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 187566) | |
| 363AM0700X Physician Assistant, Medical (Licence: NY 008399) | |
| 363AM0700X Physician Assistant, Medical (Licence: NY 013504) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2012-09-24 |