| NPI | 1154429017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESH MALHOTRA Owner 518-374-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 227718) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |