| NPI | 1619984770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUSTAFA A ELSHESHTAWY CEO 347-675-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2022-02-01 |