| NPI | 1174965727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATISYAHU SWERDLOFF CEO 631-208-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 5155205R) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2025-08-28 |