| NPI | 1083813836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA MARIE STROCK Medical Biller 718-961-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-09-20 |