| NPI | 1699030569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMA YAVARI Physician 917-755-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A106363) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2013-03-20 |