| NPI | 1548914815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MD ISMAIL HOSSAIN President 347-475-2812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |