| NPI | 1336494053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SANGINARIO Credentialing Manager 631-745-7594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |