| NPI | 1184758260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS B MARTI Manager 718-401-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 186421) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207R00000X Internal Medicine (Licence: NY 165573) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-08-08 |