| NPI | 1235895475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK H TSENG Owner 718-541-1367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |