| NPI | 1194915686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PEREIRA BRASIL KOLICH Partner Of Organization 631-745-5847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |