| NPI | 1912205279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GLASS President 718-996-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 139939) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |