| NPI | 1932329893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIVIDHYA SUBBARAYAN Director 347-834-2592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07067800) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-08-06 |