| NPI | 1093148132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHUPENDRA R PATEL Owner 718-777-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| 173000000X Legal Medicine | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2019-01-17 |