| NPI | 1114277175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA KATSNELSON Owner 646-386-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 208600000X Surgery | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |