| NPI | 1114201340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAND R PERSAUD Owner 516-623-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225700000X Massage Therapist | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2012-12-10 |