| NPI | 1134517196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VYACHISLAV ABAYEV Owner 917-363-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 2517051) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 2517051) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |