| NPI | 1932722287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD MIRZA Owner 914-376-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |