| NPI | 1851636351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH FATIMA Sole Proprietor 516-317-8337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 260263) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-31 |