| NPI | 1568538510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO MELAMEDOFF Doctor 718-424-0339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 130526) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 148336) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-08-08 |