| NPI | 1780729111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA LOUDAROS Service Representative 718-204-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 152102) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |