| NPI | 1720560741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELANA LORRAINE VEZZA Owner 718-408-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 169234) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 169234) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |