| NPI | 1225388952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HC GLICK Owner 917-806-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 222108) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2013-09-04 |