| NPI | 1477888980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIA TAYAB CEO 917-405-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 212345) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NY 217560) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2026-02-13 |