| NPI | 1386740769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDERSHAN KUMAR DANG Pesident 315-735-7573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 179033) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-04-20 |