| NPI | 1952882003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS CRISTO LANZA Authorized Owner 718-864-3071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME128187) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-06-12 |