| NPI | 1588296784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWATOYIN AJAYI President 347-401-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2023-12-08 |