| NPI | 1851610836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD TAHIR President 718-230-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 204279) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2010-05-30 |
| Last Update Date | 2010-05-30 |