| NPI | 1972554285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAROSLAV BUKHAROVICH President 718-938-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 221545) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-04-09 |