| NPI | 1104223569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAIKH N HASAN President Of The Corporation 917-498-8514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 208519) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2015-05-11 |