NPI | 1326158536 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY LYNNE MATTHEWS Administrator 516-599-4475 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 193204) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-08-17 |