| NPI | 1912145798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNG-SAM LEE Physician 917-623-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 198797) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 198797) |
| Enumeration Date | 2009-02-01 |
| Last Update Date | 2019-01-16 |