| NPI | 1972324127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZMUL HUDA Owner/Authorized Official 718-291-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |