| NPI | 1689910911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SALAMATBAD President 516-439-5060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 249405) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |