| NPI | 1831646009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE RUIZ Office Manager 718-763-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 215825-1) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |