| NPI | 1104501451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADALBERT PILIP Physician 631-656-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RN0300X Internal Medicine, Nephrology | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |