| NPI | 1659672103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRDAD HEDAYATNIA Owner/ President 718-833-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 251932) |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2010-11-14 |