| NPI | 1063063188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA NIELI Credentialing Manager 914-376-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |