| NPI | 1558723387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAIKH JAUHAR AHMED Owner 929-398-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NY 250359) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2018-03-28 |