| NPI | 1104087451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MATIUR RAHMAN Medical Director 718-424-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 245384) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-03-08 |