| NPI | 1114342912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SOHEIL MOALEMI President 917-848-6528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 207K00000X Allergy & Immunology | |
| 207N00000X Dermatology | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |