| NPI | 1942051511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEACE IBEKWE Owner 646-491-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080B0002X Pediatrics Obesity Medicine |
| 2080C0008X Pediatrics Child Abuse Pediatrics | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |