| NPI | 1417183963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATIBHA VEMULAPALLI Shareholder 718-250-6813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 208C00000X Colon & Rectal Surgery | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2019-01-16 |