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 |