| NPI | 1881048114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDHYA PATTEM Owner 914-318-1654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: SC 28885) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2025-01-15 |