| NPI | 1093525412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODHVIR SINGH SARAI CEO 347-432-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |