| NPI | 1497995922 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SYED I MOIN Owner 845-728-2655  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 167508)  | 
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 167508)  | 
| Enumeration Date | 2009-02-24 | 
| Last Update Date | 2025-05-05 |