| NPI | 1245667930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA FAYNZILBERT President 631-623-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: NY 263077) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2018-06-20 |