| NPI | 1164616116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHAMED S MOIDEEN President 718-359-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 132106) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NY 132106) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-28 |