| NPI | 1821488529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIREEN MURARI GOPAL Physician/Director 718-794-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 201895) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2019-11-12 |