| NPI | 1245314079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE W RUCKER Owner 516-775-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 164250) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-12-14 |