| NPI | 1093693723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOTAZ IBRAHIM Medical Director 347-207-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 2084D0003X Psychiatry & Neurology Diagnostic Neuroimaging |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |