| NPI | 1992844120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MANZANO VILLONGCO CEO 646-351-6473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 220788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 220788) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-08-05 |