| NPI | 1104791896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFSHIN SHAHKOOHI President 917-940-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2026-01-16 |