| NPI | 1215257266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SCANLON Managing Director 877-896-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 106997) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |