| NPI | 1518549138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR AHMED Owner 917-574-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |