| NPI | 1265757983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRISH DESAI Owner 516-872-9859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207X00000X Orthopaedic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2012-11-27 |