| NPI | 1659195766 |
|---|---|
| Doing Business As | SAC CITY MD |
| Entity Type | Organization |
| Authorized Contact | MALATHI SHANMUGAM Owner 212-300-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-01-08 |