| NPI | 1164939039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK PATEL Member 212-734-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 261QP2300X Clinic/Center, Primary Care | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2024-07-25 |