| NPI | 1669351763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANESH DUDANI Member 347-836-5824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-11-28 |