| NPI | 1508605973 |
|---|---|
| Doing Business As | EVERLY PROVIDER GROUP NY |
| Former Legal Business Name | EMERALD MEDICAL NY PC |
| Entity Type | Organization |
| Authorized Contact | SABA HAQ AO 949-463-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2026-06-03 |