| NPI | 1942664768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA AYALA Billing Manager 917-709-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 210422) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |