| NPI | 1427178847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CHRISTOPHER LIVOTI Physician 631-226-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2025-09-11 |