| NPI | 1851784318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMIAA ELKOULILY Owner 516-594-5961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 271644-1) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2021-03-31 |