| NPI | 1902260615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANGEET KHANNA Medical Director 347-278-3247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: NY 252989) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |