| NPI | 1033452008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUCHETA D MAHAJAN Director 718-523-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207L00000X Anesthesiology (Licence: NY 60153553) | |
| 207L00000X Anesthesiology (Licence: NY 60128659) | |
| 207L00000X Anesthesiology (Licence: NY 60100118) | |
| 207L00000X Anesthesiology (Licence: NY 60136232) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-08-01 |