| NPI | 1295495174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR HUSSAIN Owner 917-502-3054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |