| NPI | 1982622833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J. AQUINO President 718-423-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 213E00000X Podiatrist | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |