| NPI | 1679072086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHA MANIK President 718-806-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2024-11-26 |