| NPI | 1982082202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASOUD SAMAN Owner 917-543-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX Q0556) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |