| NPI | 1003573494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVAID HASSAN IFTIKHAR Owner 718-743-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-11-20 |
| Last Update Date | 2023-11-08 |