| NPI | 1124229802 |
|---|---|
| Doing Business As | (DBA) SIRM LONG ISLAND |
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRAVERMAN Doctor 516-227-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 158551) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 158551) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-07-16 |