| NPI | 1073747689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA PINCUS President 631-269-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 183029) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 183029) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |