| NPI | 1942532791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELIO ECHENIQUE President 718-762-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 212182) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2012-04-18 |