| NPI | 1235255787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHN HANLON Sole Partner 516-650-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 45561) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-01-27 |