| NPI | 1952696791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MICHAEL MALEGIANNAKIS Physician 718-375-7595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 224662) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |