| NPI | 1215952072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MORMANDO President/CEO 631-642-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 200407) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 178674) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |