| NPI | 1982078499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKASH FERDAUS Md 646-897-9152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 266730) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2016-05-24 |