| NPI | 1407483175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKHA BHANDARI Owner 718-534-0689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-06-10 |