| NPI | 1548491046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHUPENDRA RAMBHAI PATEL President 718-899-5900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |