| NPI | 1720194012 |
|---|---|
| Doing Business As | ASTORIA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | FOUAD LAJAM Owner 718-274-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |