| NPI | 1619744968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED LATIF CEO 347-986-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NR0200X Chiropractor, Radiology | |
| 163WP0000X Registered Nurse, Pain Management | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2085B0100X Radiology, Body Imaging | |
| 2085D0003X Radiology, Diagnostic Neuroimaging | |
| 225100000X Physical Therapist | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0200X Clinic/Center, Radiology | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |