| NPI | 1720299464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HADI M JABBAR Owner 718-939-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 145455) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2009-06-04 |