| NPI | 1396106860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA GREDYSA President 631-369-8539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 280046) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |