NPI | 1285224238 |
---|---|
Entity Type | Organization |
Authorized Contact | JALIL ANWAR Physician 631-760-8207 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Additional Taxonomies | 207R00000X Internal Medicine |
207RC0200X Internal Medicine, Critical Care Medicine | |
Enumeration Date | 2021-01-23 |
Last Update Date | 2021-01-23 |