| NPI | 1285748749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BRENNER-SMITH Billing Manager 516-731-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-02-04 |