| NPI | 1336513324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD MARUF M.D. 646-642-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 254129) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 280868) |
| Enumeration Date | 2015-11-14 |
| Last Update Date | 2015-11-14 |