| NPI | 1326243395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIAMAK HEYDARIAN President 845-426-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101048248) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-11-08 |