| NPI | 1922513241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LIZA EDEN GIAMMARIA Founder/Medical Director 646-783-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME108323) |
| Additional Taxonomies | 202K00000X (Licence: FL ME108323) |
| 202K00000X (Licence: NY 261146-1) | |
| 208600000X Surgery (Licence: NY 261146-1) | |
| 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist (Licence: FL ME108323) | |
| 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist (Licence: NY 261146-1) | |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2018-03-17 |