| NPI | 1124854542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP RAI Owner 646-713-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |