| NPI | 1750059804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVIN PATEL Owner 718-608-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-09-17 |