| 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 Psychiatric/Mental Health | |
| 2080P0205X Pediatrics Pediatric Endocrinology | |
| 208200000X Plastic Surgery | |
| 2085R0001X Radiology Radiation Oncology | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2012-11-09 |