| NPI | 1841912789 |
|---|---|
| Doing Business As | AVICENNA HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | UMBRINE FATIMA Owner 516-519-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |