| NPI | 1831498740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY K. O'BYRNE Owner 718-667-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 194645) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 231108) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 216124) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 198311) | |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-05-05 |