| NPI | 1700474897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID S AHMAD Owner 631-495-1962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology |
| Additional Taxonomies | 2080S0012X Pediatrics Sleep Medicine |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-06-21 |