| NPI | 1497944284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIL IBRAHIM INNABI M.D. 914-375-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 204019) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-03-05 |