| NPI | 1407018914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANA KHAN Head Of Operation 631-827-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 184570) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 244383) |
| 207Q00000X Family Medicine (Licence: NY 239427) | |
| 207Q00000X Family Medicine (Licence: NY 250936) | |
| 207Q00000X Family Medicine (Licence: NY 251249) | |
| 207R00000X Internal Medicine (Licence: NY 212238) | |
| 207R00000X Internal Medicine (Licence: NY 236725) | |
| 207R00000X Internal Medicine (Licence: NY 192968) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 231391) | |
| 208000000X Pediatrics (Licence: NY 216498) | |
| 208000000X Pediatrics (Licence: NY 265894) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 248838) | |
| 363AM0700X Physician Assistant, Medical (Licence: NY 006475) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2024-07-16 |