| NPI | 1831170224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREM K GUPTA President Owner 718-633-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 108782) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2007-09-24 |