| NPI | 1407295108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOUROSH ASHOURZADEH President 516-796-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 187333) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |