| NPI | 1942517321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J LEVINE Health Care Provider 718-273-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 152068) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2018-03-22 |