| NPI | 1962798686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY G. CHEN Medical Director 718-236-6186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 219895) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |