| NPI | 1194080291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANWAR WASSEL Managing 315-624-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 242965) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2019-03-05 |