NPI | 1174302954 |
---|---|
Entity Type | Organization |
Authorized Contact | JODHVIR SARAI Chief Executive Officer 347-432-1603 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
207R00000X Internal Medicine | |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2023-09-21 |
Last Update Date | 2024-05-10 |