| NPI | 1255653739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A STEVENS Owner 516-408-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 209886) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |