| NPI | 1578747911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVIZ H MOTAVALLI Medical Director 718-333-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 1176961) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |