| NPI | 1316467988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR F AHMED Md 917-574-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NY 240578) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-07-21 |