| NPI | 1689457574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARMA L BISHOP Owner 347-553-9247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-04-26 |