| NPI | 1124781398 |
|---|---|
| Doing Business As | MEDPRO |
| Entity Type | Organization |
| Authorized Contact | SHAHIDA KHAN CEO 516-547-5418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2024-04-01 |