| NPI | 1972774909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR GRINGUT Office Manager 718-984-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 214499) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2010-01-25 |