| NPI | 1164549093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHA SYED President 718-351-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 144422) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2019-06-25 |