| NPI | 1194858019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIA MELO Office Manager 631-447-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |