| NPI | 1407939374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE BLOOM-GOLDSTEIN Billing Coordinator 516-482-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2009-12-03 |