| NPI | 1326757972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZELDA MARTIN Director Of Credentialing 631-372-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-12-05 |