| NPI | 1972693315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASHIBALA SONI Md Facp Facc 718-236-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 128754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 128754) |
| 261QP2300X Clinic/Center, Primary Care (Licence: NY 128754) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA06036700) | |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2008-01-16 |