| NPI | 1760629067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYUDMILA KHOLDAROVA Anesthesiologist 718-357-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 235991) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |