| NPI | 1578613782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR DEMARCO CFO 718-901-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-02-06 |