| NPI | 1841602323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK MOHAMED MOUSA Owner 718-267-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 259363-1) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |