| NPI | 1205493533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIYAN THOMAS President 516-849-4678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-07-08 |