| NPI | 1396322467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRFAN HAYAT Manager 347-388-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111NR0400X |
| 207R00000X Internal Medicine | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208800000X Urology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-04-01 |