| NPI | 1093742355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HISHAM AHMED Director Of Administration 718-764-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RR0500X Internal Medicine Rheumatology | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |