| NPI | 1043599863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALMAN A HAQ CEO 646-644-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 2327241) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 2327241) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2012-03-28 |