| NPI | 1104973049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCCO CARUSO Owner 631-751-8305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 149725) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |