| NPI | 1225344583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAH AHMED Director Of Administration 718-764-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 122598) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |