| NPI | 1053746651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZULFIQAR KHALIQUE President 646-469-9596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 261413) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |