| NPI | 1740461334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFFAT ARA SADIQUE Owner 718-739-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 229868) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 230830) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 242628) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 244121) | |
| 213E00000X Podiatrist (Licence: NY N005475) | |
| Enumeration Date | 2007-11-25 |
| Last Update Date | 2023-08-29 |