| NPI | 1154554806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA GATEVA President 347-462-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2009-08-28 |