| NPI | 1225514680 |
|---|---|
| Other Name | --SELECT-- |
| Entity Type | Organization |
| Authorized Contact | LATA PABLANI Manager 718-879-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2022-07-01 |