NPI | 1801810254 |
---|---|
Entity Type | Organization |
Authorized Contact | ELHAM M ISMAIL Medical Director President 718-646-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 207Q00000X Family Medicine |
207RG0100X Internal Medicine, Gastroenterology | |
207V00000X Obstetrics & Gynecology | |
207Y00000X Otolaryngology | |
213E00000X Podiatrist | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2025-09-11 |