| NPI | 1922368679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHANNA TSUKERMAN Doctor 718-902-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 133N00000X Nutritionist |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2013-01-08 |