| NPI | 1992715585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RICARDO ANDRADE Physician 718-589-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 166744) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 166744) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-11-07 |