| NPI | 1356760052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MD MAHBUBUL ISLAM CEO/President 718-480-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 243430) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |