| NPI | 1093399917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETIZAZ HASSAN SHAH CEO 646-954-7697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 171400000X Health & Wellness Coach | |
| 207K00000X Allergy & Immunology | |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208D00000X General Practice | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |