| NPI | 1316472194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALDO ALLEVA Md 516-807-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NY 2854131) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2019-07-23 |