| NPI | 1699026385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFSHIN TAVAKOLY Officer/Physician 917-605-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2024-10-30 |