| NPI | 1053623041 |
|---|---|
| Former Legal Business Name | PEGASUS MEDICINE GROUP EMPIRE STATE, PLLC |
| Entity Type | Organization |
| Authorized Contact | DANIEL R. FERRARA President 631-514-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2016-05-25 |