| NPI | 1346559192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARYN DONNELLY Office Administrator 631-727-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 1735421) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |