| NPI | 1790791457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DELLACERRA VP Managed Care & Revenue Complianc 718-630-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 16885) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 16885) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 16885) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-09-08 |