| NPI | 1316094014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL STEVENSON Office Manager 718-956-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 149070) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |