| NPI | 1295126423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS K JASSEY Owner 516-409-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 206951) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |