| NPI | 1427727619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ARDEN RADWANER Owner 917-693-2063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2023-11-13 |