NPI | 1023102696 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN E KLEIN President 631-665-8515 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 221368) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 162359) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2009-02-27 |