| NPI | 1720210883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANS CREVECOEUR Anesthesiologist/Medical Director 718-622-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 177953) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |