| NPI | 1891679486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUBHA KOLLAMPARE Owner 347-216-5347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |