| NPI | 1568834778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHD HOSSAIN Medical Director 718-713-7812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 257463) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |