| NPI | 1972723427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA CHALIK VP 718-448-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 229483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07633200) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2014-02-25 |