| NPI | 1346554342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILORA RAFIQUE Md 347-346-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 218349) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |