| NPI | 1164530309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY PAUL KIEWE President/ CEO 516-775-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2013-02-21 |