| NPI | 1205288305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SHAO Owner 845-564-1215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 232955-1) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |