| NPI | 1174149322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANTHAKUMAR THILLAINATHAN Owner 516-582-1948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-11-09 |