| NPI | 1225861396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULWAHHAB ALABID Medical Resident 929-668-7148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |