| NPI | 1427285527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL DESROCHES Medical Director 516-285-2850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335744-1) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |