| NPI | 1407286552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CLANCY Executive Administrator 516-874-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2014-02-20 |