| NPI | 1972027399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA C FISHMAN Physician/Owner 646-215-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 211070) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |