| NPI | 1932572807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADEZHDA BADALOVA Internal Medicine 718-440-6473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 245373) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-12-17 |