| NPI | 1437247509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CAROL POLAN Am 718-828-6610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 0810561) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-08-30 |