| NPI | 1508136342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHAKAR H PRABHU President 718-833-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 123558) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |