| NPI | 1497529861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUAIS SAYEED Owner 917-451-1447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-09-11 |