| NPI | 1356521298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED OMAR ELBANNA President 718-706-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 224801) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: NY 224801) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |