| NPI | 1306503719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DANDRAIA Director Of Credentialing 631-751-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology |
| 207RX0202X Internal Medicine Medical Oncology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |