| NPI | 1104075217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO L MAGNO President 516-254-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 165641) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA05018400) |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME 64504) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2022-09-06 |