| NPI | 1508616301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOOHRA MASHRIQI Owner 917-209-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |