| NPI | 1992057392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFSER TASNEEM Doctor 718-291-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 234120) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |