| NPI | 1336219658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JEAN WEBER CEO Administrator 631-269-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 5157311N) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |