| NPI | 1740415298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEV MARK KHITIN Md/Owner 718-701-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 243555-1) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2016-02-10 |