| NPI | 1699287201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZRIEL AVEZBADALOV Director 646-671-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2017-11-05 |