| NPI | 1689711673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAZLOLLAH FRAYDOON MOQTADERI President 212-876-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 1176921) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |