| NPI | 1609015395 |
|---|---|
| Doing Business As | BROADWAY MEDICAL CARE |
| Entity Type | Organization |
| Authorized Contact | SYED M JALAL Owner 516-620-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 206287) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |