| NPI | 1205164621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOAHANAH KAHN Owner 718-327-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 207R00000X Internal Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2010-10-05 |