| NPI | 1952457525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ICILMA V FERGUS CEO 718-670-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 206086-1) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |