| NPI | 1912078742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA QADIRI Manager 718-261-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2023-06-06 |