| NPI | 1114126398 |
|---|---|
| Doing Business As | ISLANDHEALTH |
| Entity Type | Organization |
| Authorized Contact | DEBORAH C. LEO Practice Manager 631-666-1956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 225776) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2023-10-31 |