| NPI | 1154529568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MAUCERI Director 516-822-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2025-09-11 |