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 |