NPI | 1295084978 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH ABRAHAM GROSSMAN Owner 347-590-2707 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 081056) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 081056) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2012-09-10 |