| NPI | 1265862486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA MIRSAKOV Owner 917-538-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 244792) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |