| NPI | 1063944627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEERA SOHAIL President 718-840-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA 129795) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 129795) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA 129795) | |
| 208M00000X Hospitalist (Licence: CA 129795) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-10-08 |