| NPI | 1134497951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YALAMANCHILI RAO Proprietor 718-816-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 116820) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |