| NPI | 1992934467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREY GONCHARUK President 516-745-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RN0300X Internal Medicine Nephrology (Licence: NY 199896) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2014-12-05 |