| NPI | 1598913568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRIAR J KHALILI Incorporator 631-447-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 181137) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-10-09 |