| NPI | 1588984967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR. H. AHMED Director Of Administration 718-764-1661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 082513) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |