| NPI | 1417357716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP TOTONELLY Owner 845-831-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 140194) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 140194) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-09-18 |