| NPI | 1427355775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EFRAIN SANCHEZ President 631-582-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 215692-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 258769-1) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |