| NPI | 1982193736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA RAVI President 718-501-3907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA09450500) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |