| NPI | 1952734584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA DAMODAR BHAYANI President 718-249-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 011734) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |