| NPI | 1922495597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA ZAVELYUK President 347-248-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 247178) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2025-11-14 |