| NPI | 1396081113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIZ O ALZOOBAEE Owner 718-833-7466 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 223071-1) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |