| NPI | 1063402311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLA BOOHOFF President 516-295-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 223039) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2010-06-02 |