| NPI | 1366252330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDER SHALSHIN Co Owner 631-271-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |