| NPI | 1003040759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEI KAO Owner 631-435-4358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 160056) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 222186) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 197663) | |
| 363A00000X Physician Assistant (Licence: NY 006795) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |