| NPI | 1962265934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASDEEP SIDANA Officer/Owner 646-321-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |