| NPI | 1932939709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMMI KALSOOM KHAN President 917-545-8695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |