| NPI | 1699032268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUMANA C SABUR Doctor 718-597-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 226201) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-06-07 |