| NPI | 1750151999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY TABI President 347-768-7675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-10 |