| NPI | 1386288645 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | ARTHUR PINKHASOV Medical Director 516-419-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |