| NPI | 1811124571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID KOZER Owner 718-375-2825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 210014) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |