| NPI | 1366569881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVAN MARDY Physician President 516-284-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 185993) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |