| NPI | 1306940937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON DAVID KIRWIN President 718-288-1875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 160062) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-03-06 |