| NPI | 1932968641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON JACKNESS Owner 212-772-7628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |