| NPI | 1114298932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDY I MOHAMMED Owner Of Organization 718-721-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 189433) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 189433) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |