| NPI | 1487655031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASRULLAH KHAN Owner 718-434-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 204511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 195819) |
| 207R00000X Internal Medicine (Licence: NY 227066) | |
| 208000000X Pediatrics (Licence: NY 210632) | |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2022-11-15 |