| NPI | 1962703017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD C WALLERSON President 718-519-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |