| NPI | 1003193319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS HUGELMEYER President/Owner 516-761-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 249028) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2012-10-03 |