| NPI | 1225440068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR FARIWA Provider 718-934-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-09-10 |