| NPI | 1508932443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULTAN AHMED Md 718-335-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2022-05-24 |