| NPI | 1972324127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZMUL HUDA Owner/Authorized Official 718-291-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 207Q00000X Family Medicine | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2025-08-18 |