| NPI | 1154647451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIKVA JACOBS Md 212-288-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 214917) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 214917) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |