| NPI | 1629228523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZAD SHOKRI TABIBZADEH President 516-626-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 194182) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |