| NPI | 1265156558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAJI D SKARIA Owner 631-830-5438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RN0300X Internal Medicine Nephrology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RR0500X Internal Medicine Rheumatology | |
| 207T00000X Neurological Surgery | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2023-07-14 |