| NPI | 1982803755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MATHEW Physician/Owner 718-343-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 225462) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-09-12 |