| NPI | 1043902885 |
|---|---|
| Former Legal Business Name | ELITE MULTI SPECIALTY GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | ESSAM ALI President/Doctor 646-752-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |