| NPI | 1255441036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE MEYER Office Manager 631-421-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-03-24 |