| NPI | 1649429994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHA AWIKEH Physician 718-921-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 231058) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |