| NPI | 1255508495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH LANOUE Executive Director 718-779-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |