| NPI | 1144288077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B ISRAEL Practices Managing Member 631-283-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |