| NPI | 1225340136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RABEENA FAZAL Physician 718-622-1037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 237316-1) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2011-06-02 |