| NPI | 1477845659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINA BALCHANDANI Owner/President 631-255-3617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology | |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |