| NPI | 1457990749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHID RASUL President 917-774-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |