NPI | 1992045793 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA ANTHONY POWELL Medical Doctor 646-673-3515 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 267268-1) |
Enumeration Date | 2013-02-15 |
Last Update Date | 2015-01-29 |