| NPI | 1922313196 |
|---|---|
| Other Name | FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARY GROCHOWSKI Sr. VP / CFO 718-960-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2023-10-11 |