| NPI | 1114340510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFAIN Y MEGHANI CEO 518-687-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 133V00000X Dietitian, Registered | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208M00000X Hospitalist | |
| 261Q00000X Clinic/Center (Licence: NY 171212063) | |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2018-03-17 |