| NPI | 1518678077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNISH KHANEJA Vice President 646-453-5945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 174400000X Specialist |
| 207K00000X Allergy & Immunology | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2024-03-05 |