| NPI | 1215042213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAIK ALI Md 718-850-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 192787) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-02-13 |