| NPI | 1407096886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD SURYA Internal Medicine 516-285-7605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 204213) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |