| NPI | 1104430412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITHA RAJAMANICKAM President 917-297-4634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |