| NPI | 1033419270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A GOODMAN Medical Director 516-222-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 101625) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-12-30 |