| NPI | 1417901323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JARRETT Director 516-465-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 208200000X Plastic Surgery | |
| 2085R0001X Radiology, Radiation Oncology | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2012-11-09 |