| NPI | 1083915268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOUTER RIETSEMA President 518-562-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |