| NPI | 1275789604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDER DARSHAN KAUR KALRA Resident 516-543-8607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: PA MT193045) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |