| NPI | 1154655439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL WAHID President 718-331-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 229604) |
| Enumeration Date | 2009-09-19 |
| Last Update Date | 2009-09-19 |