| NPI | 1407088255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY RADINSKY Physician / Owner 516-771-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 220381) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2020-11-04 |