| NPI | 1225253537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOUN SABA MITROMARAS President 631-331-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 185255) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2011-03-30 |