| NPI | 1902965171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJANI VENKATA KOTA President 631-751-8905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 222728) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-03-03 |