| NPI | 1396944799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY FROMMER CEO 516-931-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 174400000X Specialist | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2023-12-05 |