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 |