| NPI | 1295716835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX BALKO Director Finance 516-632-3681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 218259) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 003479) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 214473) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 112253) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 204027) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 201704) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 158539) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 242239) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2008-10-03 |