| NPI | 1215178108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DITHI A SHETTY Owner 631-271-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA 60028019) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |