| NPI | 1578197729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEDIQUE S MOHAMMED Administrator 516-620-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |