| NPI | 1922436591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZRA ISRAEL Owner 718-377-2834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 265876) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |