| NPI | 1467709451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM DANIEL SHAMEKH President/CEO 516-455-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 236142) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2018-11-28 |