| NPI | 1053399006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK M MANN Owner 718-225-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2010-10-16 |