| NPI | 1912004995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMADUDDIN HASHMI President 718-399-6234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |