| NPI | 1831394469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIRA K SHAHAB Sole Proprietor 516-270-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 230853) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-05-30 |