| NPI | 1972059384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MHROOS FAIK BARAK PETERS Owner 516-562-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 249349) |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2016-08-27 |