| NPI | 1457424236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERVAT MANSOUR Owner 718-377-2834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 220228) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |