| NPI | 1093401036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN J GERMAINE Manager 516-707-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QA0005X Clinic/Center Ambulatory Family Planning Facility | |
| 261QC1500X Clinic/Center Community Health | |
| 305S00000X Point of Service | |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |