| NPI | 1023795945 |
|---|---|
| Former Legal Business Name | ROZA MEDICAL CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | BULAT KHAMITOV CEO 718-218-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-11-30 |