| NPI | 1003607987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GARDELLA Compliance 917-727-7729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-20 |