| NPI | 1386732774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M SPENCER President 631-254-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 214310) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-07-01 |