| NPI | 1225587793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL J PARK President 516-619-8098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2019-06-06 |