| NPI | 1487953717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAZIA A SAMI Physician 163-185-3283 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 222749-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 240847) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |