| NPI | 1649949447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHZAIB MIRZA CEO/Md 929-228-9657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2023-01-05 |