| NPI | 1962693820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJEN MANIAR Officer Of Corp 718-513-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 238838) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-08 |