| NPI | 1972138014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULEIMAN HALAIBEH President 914-500-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |