| NPI | 1407052418 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LIZA CHOBRUTSKAYA Billing Manager 718-236-1056  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 19688)  | 
| Enumeration Date | 2007-06-26 | 
| Last Update Date | 2008-02-07 |