| NPI | 1992194864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD A MOMEN Administrative Assistant 718-200-0723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 246186) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2016-07-07 |