| NPI | 1215071329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHBUB AHMED Medical Director 718-306-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 213709) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |