| NPI | 1184752735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN GOLDEN Owner 718-239-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 161593) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 162914) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2012-02-22 |