| NPI | 1164387924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LEE Owner 718-321-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-12-23 |
| Last Update Date | 2025-12-23 |