| NPI | 1255372017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN JOSEPH O'NEILL President 914-366-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: NY 176762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 176762) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2013-03-26 |