| NPI | 1063747236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA KATSNELSON Owner 718-301-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NY 2427581) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |