| NPI | 1528138047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED M. ABDALLA Owner 646-641-6579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-03-11 |