| NPI | 1619461837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOORENA KHOJASTEH Owner/Physician 914-610-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |