| NPI | 1194985762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ZELEN CEO 631-421-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 177819) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 221756) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NY 175751) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |