| NPI | 1841694353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHROUZ FARAHMANDPOUR President 631-271-9017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 233446) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |