| NPI | 1942326665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA ZARITSKY Manager 718-761-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 226582) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 209836) |
| 207R00000X Internal Medicine (Licence: NY 136429) | |
| 207R00000X Internal Medicine (Licence: NY 234547) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |