| NPI | 1649676701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANURAG S. KUSHAWAHA Owner 718-213-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 109471) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |