| NPI | 1952781353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON JACKNESS Owner 347-452-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2023-12-28 |