| NPI | 1932113818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAQIR AHMAD Owner 718-306-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 220457) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |