| NPI | 1750728424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID BAMSHAD Physician Assistant 646-420-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 003329-1) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 131037-1) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |