| NPI | 1003131947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY STEVENS President 516-439-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 179574) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 179574) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-07-23 |