| NPI | 1750109435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFRINA HASAN Owner / Clinician 516-650-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-03 |