| NPI | 1336552926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASHIR AHMED President 631-320-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2015-09-23 |