| NPI | 1104243633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK M MOUSA Owner 347-556-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 259363) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2017-09-12 |