| NPI | 1639249493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHIKVASHVILI Original Member 516-395-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 220385) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-04-08 |