| NPI | 1043588536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID NOORI Medical Director 631-667-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 2416121) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2024-01-31 |