| NPI | 1306196936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA LEVINSKAYA Attending Physician 516-506-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 260076) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2014-03-25 |