| NPI | 1003909839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTINOS KOUTELOS Partner 718-759-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-09-05 |