| NPI | 1104097294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REILLY Chief Medical Officer 516-705-1353 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 178140) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2020-01-21 |