| NPI | 1962909796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHAR AMERY CEO 518-669-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 201202072) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: NC 201202072) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-10 |