| NPI | 1275802936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARWAN HAMMOUD President 718-520-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 233296) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |