| NPI | 1295783934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE CARMEL JACQUES President 516-478-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |