| NPI | 1407278229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHD A HOSSAIN President. 347-390-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 257463) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |