| NPI | 1467054924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REHAN SHAH Owner 516-721-7069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RN0300X Internal Medicine, Nephrology | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |