| NPI | 1114681269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRANJIT KAUR KHALSA Physician 516-410-0698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-11-18 |