| NPI | 1376584672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA COUDREY President 631-666-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 200075) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |