| NPI | 1619973518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMA R KHAN Operations Manager 718-231-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2015-07-08 |