NPI | 1225002785 |
---|---|
Entity Type | Organization |
Authorized Contact | IMADUDDIN HASHMI Medical Director 718-306-5025 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 184579) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2022-02-14 |