| NPI | 1821065590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEG C ELMQUIST Credentialing Officer 646-778-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| 207RS0012X Internal Medicine Sleep Medicine | |
| 207U00000X Nuclear Medicine | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2013-07-25 |