| NPI | 1679951578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAHEL AL BOUZ CEO 516-241-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2016-10-31 |