| NPI | 1689972317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHWANATH VALAGEREHALLY PUTTASWAMYGOWDA President 718-803-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 223041) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2017-04-25 |