| NPI | 1447923370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURAJ DEVESAR CEO 646-477-5862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |