| NPI | 1194574285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL NOVICK Owner 516-705-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-08-27 |