| NPI | 1568830834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA MIRSAKOV Medical Director 718-238-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 244792) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |