| NPI | 1093553729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN LONG Physician In Charge 516-441-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| 207N00000X Dermatology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-22 |