NPI | 1689498552 |
---|---|
Entity Type | Organization |
Authorized Contact | OMAR OSMAN President 855-611-8783 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 207R00000X Internal Medicine |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2024-11-08 |
Last Update Date | 2024-11-08 |