| NPI | 1225059215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL COLIN MASSIAH Physician 631-727-6717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 235602) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 235602) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2012-10-05 |