| NPI | 1417208927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO MAGNO CEO 516-254-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 165641) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: NY 165641) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2022-09-06 |