| NPI | 1336870526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADNAN AHMED President 347-243-1952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-08-15 |