| NPI | 1891115671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SONG Medical Director 917-207-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 240614) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |