| NPI | 1982976999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMYA RIZK Adminstrator 516-351-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 204874) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 204874) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2014-12-16 |