| NPI | 1891925095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID ALAM Owner 917-476-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |