| NPI | 1356160618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI BILHARTZ President 631-707-5213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |