| NPI | 1295788966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP FORTUNATO SPADAFORA Physician President 516-877-1518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 1878871) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-05-15 |