| NPI | 1871084566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL LOPEZ Md 718-464-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 213205) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |