| NPI | 1942642038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBENEZER ODOOM President 347-276-4570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |