| NPI | 1437763224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOSSEIN MOLAZADEH President 718-551-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2024-09-23 |