| NPI | 1518197243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASIL MAMALADZE Anesthesiologist 347-513-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: PA T441115) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |