| NPI | 1750791877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHRAF SALEM Medical Director (Owner) 718-240-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2017-04-04 |