| NPI | 1689065633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIBI ISHMAEL Credentialist 347-249-0768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-25 |