| NPI | 1326158395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID COLON Office Manager 914-803-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 193986) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 193986) | |
| 207U00000X Nuclear Medicine (Licence: NY 193986) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NY 193986) | |
| 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: NY 193986) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: NY 193986) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-01-11 |