| NPI | 1962682864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFRY TAMBOR Medical Director 718-979-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 158418) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2015-11-02 |