| NPI | 1003889023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J. DIBENEDETTO Md/President 631-474-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 172308) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2010-12-29 |