| NPI | 1962104976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEYMAN E YOUNESI Owner 718-709-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-10-01 |