| NPI | 1740006063 |
|---|---|
| Doing Business As | KETAMINE WELLNESS MEDICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | RAKESH GOYAL President 516-280-3842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |