| NPI | 1497494124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED RAHMAN Owner 516-305-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |