| NPI | 1033374624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GLASER Sole Owner 516-328-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 120996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 120996) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2009-04-06 |