| NPI | 1366945339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NODAR JANAS Md 718-454-4356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2025-10-14 |