| NPI | 1962160564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM SHAWN FARAHVASH CEO 917-349-4943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2024-10-09 |