| NPI | 1356854400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANTHAKUMAR THILLAINATHAN Sole Mbr 516-582-1948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 53980) |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2021-07-20 |