| NPI | 1932107703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ROSE Office Manager 718-338-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 137420) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 137420) |
| 207RN0300X Internal Medicine Nephrology (Licence: NY 171752) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2010-01-05 |