| NPI | 1548653132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILMANA FULGER Sole Proprietor 914-423-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 243615) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |