| NPI | 1710381546 |
|---|---|
| Doing Business As | CORAZON EN FORMA |
| Entity Type | Organization |
| Authorized Contact | SAMER KOTTIECH President 646-494-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2023-12-14 |