| NPI | 1871885673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA M RAMPERSAUD Owner 718-777-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 211018) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2016-05-11 |