| NPI | 1962687665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER EUGENE ISTOMIN Medical Director 718-656-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 207R00000X Internal Medicine | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |