| NPI | 1053628933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED HUSSEIN IDRIS Owner 516-582-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 228816) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |