| NPI | 1083120570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR F AHMED Md 917-574-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09814600) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |