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 |