| NPI | 1336726223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ZASO Provider And Owner 631-670-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-26 |