| NPI | 1245210145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY CUMBO Owner/Operator 866-575-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 226644) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2014-04-23 |