| NPI | 1457463234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGDISH P MISHRA Owner 585-343-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 215983) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-05-19 |