| NPI | 1063616589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON MENEZES President 718-250-6237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 194948) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-03-27 |