| NPI | 1427139229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH EYMOLD Biller 516-222-0935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RG0100X Internal Medicine, Gastroenterology | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-07-11 |