| NPI | 1295068930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY K SUSSMAN CEO 631-509-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 205106) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |