| NPI | 1679893861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMTIAZ AHMED PATEL Doctor 516-528-1388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA08749900) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NJ 25MA08749900) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |