| NPI | 1245715796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY SCURLOCK Member 914-523-2189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2022-10-14 |