| NPI | 1790978203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARSHID RADPARVAR Sole Owner 718-897-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 181525) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2023-09-06 |