| NPI | 1558520056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFFAT ARA SADIQUE Physician 718-934-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 230830) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 242628) |
| 213E00000X Podiatrist (Licence: NY N005475) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-09-23 |