| NPI | 1427188473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T SHEN President 516-883-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 171781) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 187122-1) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 165520) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NY 187122-1) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 187122-1) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 165520) | |
| 2083T0002X Preventive Medicine, Medical Toxicology (Licence: NY 165520) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |