| NPI | 1255982542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L CUSACK Senior Vice President & CFO 516-321-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 207N00000X Dermatology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207RT0003X Internal Medicine, Transplant Hepatology | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2022-07-08 |