| NPI | 1801751516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMIM AHMED Owner 917-913-8912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2025-12-16 |