NPI | 1932977840 |
---|---|
Doing Business As | NUSHAMA |
Doing Business As | 515 MADISON MEDICAL PLLC- DBA NUSHAMA |
Entity Type | Organization |
Authorized Contact | STEVEN RADOWITZ Chief Medical Officer Owner 917-270-5404 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-12-20 |
Last Update Date | 2023-12-20 |