| NPI | 1407860471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYOTI PRAKASH GANGULY President/Physician 631-979-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2014-05-12 |