| NPI | 1598834376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW VANTOSH Owner 716212-420-2092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 142209) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |