| NPI | 1508969494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LO CICERO Authorized Official 718-283-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2013-02-13 |