| NPI | 1235405556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LING S ONG Owner 585-473-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 115302) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |