| NPI | 1326318882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR KORNBLIT Owner 516-867-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 153429) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |