| NPI | 1801810254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELHAM M ISMAIL Medical Director President 718-646-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |