| NPI | 1336319870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUCHEHR SASANNEJAD Owner 845-343-1856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 121795) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2010-12-09 |