| NPI | 1932459005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJEEV D SRIVASTAVA Owner 718-907-1091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2013-05-10 |